Provider Demographics
NPI:1932977113
Name:DUKE, MELISSA HYLTON (FNP-C)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:HYLTON
Last Name:DUKE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 N 500 E
Mailing Address - Street 2:
Mailing Address - City:HEBER CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84032-1903
Mailing Address - Country:US
Mailing Address - Phone:435-671-2451
Mailing Address - Fax:
Practice Address - Street 1:150 N MAIN ST STE 105
Practice Address - Street 2:
Practice Address - City:HEBER CITY
Practice Address - State:UT
Practice Address - Zip Code:84032-1670
Practice Address - Country:US
Practice Address - Phone:435-709-5201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-18
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5636621-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily